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Left main and multivessel disease

Find all the latest content on left main and multivessel disease published on this website.

The left main coronary artery provides the primary source of blood flow to the left ventricle. Diseases affecting the left main, by itself or in combination with multivessel disease, place the patient at significant risk for life-threatening cardiovascular events. Treatment requires an understanding of all available tools, devices and techniques, like those employed in invasive imaging and functional assessment, as well as taking into account underlying comorbidities such as diabetes. Advances in imaging techniques, as well as the use of adjunctive pharmacotherapy, vascular access or invasive interventions such as bypass surgery, are important, as are understanding bleeding risks. Use the filters below to access PCRonline resources.

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Left main and multivessel disease

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The Controlled Antegrade and Antegrade Tracking (CAAT) technique for left main trunk bifurcation divided by a flap-like structure

29 Jan 2021

The authors present a case of PCI for left main trunk bifurcation divided by a flap-like structure in a 67-year-old man suffering from effort angina, in which they successfully used a novel tracking technique by modifying the reverse controlled antegrade and retrograde tracking (CART), which they called...

The modified CART technique in bifurcation lesion

Overcoming challenges of STEMI PCI: case-based learning

13 Dec 2020 – From AICT-AsiaPCR 2020

Watch this session if you want to understand the haemodynamic and support for cardiogenic shock, to learn the management of large intracoronary thrombus burden and to define a strategy of primary PCI in patients with multivessel disease.

This session was originally presented during AICT-AsiaPCR 2020.

Overcoming challenges of STEMI PCI: Case-based learning

The year in review in Interventional Cardiology: clinical trials and relevant literature published in 2020

12 Dec 2020 – From GulfPCR-GIM 2020

Watch this session if you want to reflect on key learnings for clinical practice from selected trials published in 2020, to get a rapid overview of the most relevant literature of the year in the fields of coronary, valvular and peripheral interventions and to see examples...

The year in review in Interventional Cardiology

The effect of adding ticagrelor to standard aspirin on saphenous vein graft patency in patients undergoing coronary artery bypass grafting

23 Sep 2020

POPular CABG: A randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of ticagrelor on SVG patency when added to low-dose aspirin in post-CABG patients.

Guillaume Bonnet

Reviewer

Guillaume BONNET

Reviewer

Ali Nazmi Calik
Ticagrelor and saphenous vein graft patency after CABG (POPular CABG)

Challenging PCI after Valve in Valve: 1 coronary, 3 obstacles!

21 Sep 2020

In this case of an 86-year-old woman, multiple factors make this a complex high-risk PCI. The interventional cardiologist encountered 3 obstacles to engage the coronary! Watch how he overcame this challenge.

Abdelhakim Allali

Author

Abdelhakim Allali
Challenging PCI after Valve in Valve: 1 coronary, 3 obstacles!

Optimal left main bifurcation stenting technique: a patient-centred approach - Session with LIVE case

Watch this session if you want to learn how to adapt left main treatment strategy to the underlying anatomy, to understand when a two-stent strategy should be selected, to learn tips and tricks of the TAP stenting technique and to discuss how to solve technical difficulties at...

Optimal left main bifurcation stenting technique: a patient-centred approach

Safety of Revascularization Deferral of Left Main Stenosis Based on Instantaneous Wave-Free Ratio Evaluation

05 Aug 2020

The main message appears to be that iFR-based deferral of LM revascularization is not linked to an excessive risk of MACE during 30-month median follow-up. Given the historical predominance of angiography-based decision making, this study provides further evidence in support of thinking and acting beyond angiography...

Dejan Milasinovic

Reviewer

Dejan Milasinovic
Safety of Revascularization Deferral of Left Main Stenosis Based on Instantaneous Wave-Free Ratio Evaluation

Multicentre, randomised comparison of two-stent and provisional stenting techniques in patients with complex coronary bifurcation lesions: the DEFINITION II trial

22 Jul 2020

DEFINITION-II adds to the evidence that an upfront 2-stent strategy may be most appropriate in true complex bifurcation lesions.

Nicola Ryan

Reviewer

Nicola Ryan
DEFINITION II trial: comparison of two-stent and provisional stenting techniques in patients with complex coronary bifurcation lesions

CABG or PCI in patients with left main coronary artery disease

27 Jun 2020 – From PCR e-Course 2020

Watch this session if you want to be updated on clinical outcomes in patients with left main lesion treated by PCI or CABG and to understand the different criteria who play a major role in decision making between PCI and CABG.

This session was originally presented during...

CABG or PCI in patients with left main coronary artery disease

Ultra low contrast: new skills and technologies for next frontier in PCI

27 Jun 2020 – From PCR e-Course 2020

Watch this session if you want to learn why ULCPCI will be needed for patients who have developed cardiomyopathy due wait linked to COVID outbreak, to understand what tools we have in the cathlab to perform ULCPCI and to learn how to practice ultra-low contrast in...

Ultra low contrast: new skills and technologies for next frontier in PCI